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Preventing Childhood Obesity - Evidence Policy and Practice.pdf

Preventing Childhood Obesity - Evidence Policy and Practice.pdf

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<strong>Obesity</strong> in early childhood <strong>and</strong> working in pre-school settings<br />

( FMS ) in early childhood, has a positive effect on<br />

involvement in physical activity such as organized<br />

sports later in life. 57 And a positive reinforcer for<br />

increasing participation in physical activity has been<br />

shown to be successful motor performance. 58<br />

To ensure that young children participate sufficiently,<br />

physical activities need to be well integrated<br />

into children ’ s daily routines. 59 The activities should<br />

promote the necessary skills to facilitate enjoyment<br />

<strong>and</strong> enable children to develop an appreciation of<br />

physical movement, which will most likely track<br />

through adolescence <strong>and</strong> into adulthood. One way to<br />

ensure that children in day care settings engage in<br />

adequate physical activity is to add structured play to<br />

their daily program as well as providing more time for<br />

free play in environments which facilitate physical<br />

activity. 60<br />

Physical i nactivity<br />

The development of childhood obesity is complicated<br />

<strong>and</strong> multi - factorial, however, screen time has been<br />

identified as an independent modifiable risk factor for<br />

the development of childhood obesity, 61 – 65 with high<br />

amounts of screen time associated with less physical<br />

61,63 – 65<br />

activity <strong>and</strong> higher child BMI.<br />

The American Academy of Pediatrics recommends<br />

no television viewing for children under the age of 2<br />

years, <strong>and</strong> that children older than 2 years watch no<br />

more than 1 – 2 hours of TV <strong>and</strong> video per day. 66,67<br />

It has been shown that preschoolers who watch more<br />

than 3 hours of TV/day are 50% more likely to become<br />

obese than children who watch

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